I am posting for a Nursing Clinician in my hospital. She is interested in finding out about nasograstic tubes and time until removal (daily, days, weeks? other time frames?) for Neonatal patients. What do you you do? Can you please share your policy or tell us what you do. She would be very grateful I have done the literature searching (medical/nursing) and guidelines and searching for best practices. But would like to know what you are doing if possible. Thank-you so much, Deweydecimal13501 0 Share this post Link to post Share on other sites
May 4 by JadedCPN, BSN, RN JadedCPN has 13 years experience as a BSN, RN and specializes in Pediatrics, Pediatric Float, PICU, NICU. 1 Follower; 991 Posts; 8,637 Profile Views In general in my pediatric experience, NGT are good for 30 days and then need to be changed due to tube integrity and also to rotate nare to prevent skin breakdown. However I have only dabbled in neonatal care over the years so it may be different due to their more fragile skin. 1 Share this post Link to post Share on other sites
May 4 by adventure_rn, BSN adventure_rn is a BSN and specializes in NICU, PICU. 3 Followers; 1 Article; 1,414 Posts; 19,680 Profile Views I think that the length of use has a lot to do with manufacturer recommendations. Most are designed to be used for 24 hours or 30 days. Tubes are removed after the period of time recommended by the manufacturer, or earlier if it is removed by the patient or the patient condition changes and it is no longer needed. 0 Share this post Link to post Share on other sites
May 4 by NICU Guy, BSN, RN NICU Guy has 5 years experience as a BSN, RN and specializes in NICU. 2 Followers; 3,654 Posts; 33,143 Profile Views 30 days, if they are needed that long. In five years, I don't think I have seen them last that long. Usually, within a week they have managed to pull the tube out of their nose (regardless how well we tape it). When they are stuck in an isolette 24/7, they have all the time in the world to find a way to get it out of their nose. Once it is pulled out of the nose, we replace it with a new one. 1 Share this post Link to post Share on other sites
May 5 by jennylee321 412 Posts; 5,110 Profile Views 28 days but as said above you should also find out what manufacturer says some tubes are marketed for longer term use 0 Share this post Link to post Share on other sites
May 6 by Ashley NICU Ashley NICU has 12 years experience and specializes in NICU. 6 Posts; 37 Profile Views We change out NGT every 7 days. It is flagged in EPIC and will be a pop-up reminder when it is due to be changed. 0 Share this post Link to post Share on other sites
May 6 by NICU Guy, BSN, RN NICU Guy has 5 years experience as a BSN, RN and specializes in NICU. 2 Followers; 3,654 Posts; 33,143 Profile Views 4 hours ago, Ashley NICU said: It is flagged in EPIC and will be a pop-up reminder when it is due to be changed. The pop-up was requested by your facility when tailoring your Epic software. It is not standard in Epic. 1 Share this post Link to post Share on other sites
May 7 by Ashley NICU Ashley NICU has 12 years experience and specializes in NICU. 6 Posts; 37 Profile Views Yes, our facility chose to have EPIC flag this for us every 7 days per our hospital protocol. 0 Share this post Link to post Share on other sites
May 11 by Elaine M 507 Posts; 2,304 Profile Views On 5/4/2020 at 5:56 PM, NICU Guy said: 30 days, if they are needed that long. In five years, I don't think I have seen them last that long. Usually, within a week they have managed to pull the tube out of their nose (regardless how well we tape it). When they are stuck in an isolette 24/7, they have all the time in the world to find a way to get it out of their nose. Once it is pulled out of the nose, we replace it with a new one. "They have all the time in the world" lolol. I never thought of it that way but you're so right! 0 Share this post Link to post Share on other sites
